- Elevance Health (Walnut Creek, CA)
- …providers in areas with increased competition or where greater provider education around managed care concepts is required. + Contracts may involve non-standard ... creating a culture that is designed to advance our strategy but will also lead to personal and professional growth for our associates. Our values and behaviors are… more
- Rush University Medical Center (Chicago, IL)
- …with strong time management skills. **Responsibilities:** 1. Writes standard appeal letters to Managed Care payers and submit charts when needed with these ... and training in the subject field. 15. Participates in educational activities. 16. May lead and direct work of others; assists with training new staff as needed. 17.… more
- Elevance Health (Grand Prairie, TX)
- …and provider utilization patterns. + Conducts proactive outreach to support the understanding of managed care policies and procedures, as well as on a variety of ... creating a culture that is designed to advance our strategy but will also lead to personal and professional growth for our associates. Our values and behaviors are… more
- Elevance Health (Wichita, KS)
- …and provider utilization patterns + Conducts routine outreach to support the understanding of managed care policies and procedures, as well as outreach on a ... creating a culture that is designed to advance our strategy but will also lead to personal and professional growth for our associates. Our values and behaviors are… more
- Elevance Health (Seattle, WA)
- …providers in areas with increased competition or where greater provider education around managed care concepts is required + Contracts may involve non-standard ... creating a culture that is designed to advance our strategy but will also lead to personal and professional growth for our associates. Our values and behaviors are… more
- Elevance Health (Louisville, KY)
- …healthcare industry is preferred. + Actuarial experience within a healthcare and/or managed care organization preferred + Familiarity with medical management or ... creating a culture that is designed to advance our strategy but will also lead to personal and professional growth for our associates. Our values and behaviors are… more
- Norstella (Jackson, MS)
- …or marketing analysis preferred + Background or familiarity with biotech, pharmaceuticals, or managed care industry highly desirable + Track record of success ... to increase client's knowledge and use of MMIT's advisory solutions + Lead regularly scheduled client engagements to understand their business objectives, present… more
- Elevance Health (Las Vegas, NV)
- …in areas with strong competition or where greater provider education around managed care concepts is required. Contracts involve non-standard arrangements that ... creating a culture that is designed to advance our strategy but will also lead to personal and professional growth for our associates. Our values and behaviors are… more
- Prime Healthcare (Denville, NJ)
- …is the lead responsible for accurate and timely payment analysis of managed care contracts to determine that appropriate reimbursement is received. Utilizing ... many complex and varying regulations, guidelines and systems, analyzes payments received from insurance companies to assure maximum and correct reimbursement receivables. Proactively works with payers and in-house resources to identify and resolve issues that… more
- Elevance Health (Atlanta, GA)
- …limited to STAR, CHIP, STAR+PLUS, STAR Kids, ACA, and D-SNP preferred. * Managed Care Health Plan experience preferred. * Excellent communication skills (written ... creating a culture that is designed to advance our strategy but will also lead to personal and professional growth for our associates. Our values and behaviors are… more